Prepare for your GP, skin specialist or surgical consultation.
Optional notes stay in this page and are not submitted or saved by this tool. Print or save them as a PDF before leaving; refreshing clears the fields. You can also print a blank copy.
Area, discomfort, appearance or activities affected
Approximate dates, weight stability, when symptoms started
What, when, duration and response; bring existing records
Your medicines, supplements and relevant history; do not change them for this worksheet
What is causing this? What are my options, risks and alternatives?
Proposed item number and criteria; surgeon, anaesthetist, hospital, assistant, excess and follow-up costs
Who to contact, what to do next, and when to review
A symptom record supports a clinical conversation. It does not prove Medicare eligibility. Seek care when symptoms occur; do not delay treatment to build a record.
It gives you one page to fill in before a GP, dermatologist or surgical appointment: what bothers you, how long it has been going on, what you have already tried, your medicines, the questions you want answered, and the cost questions that are easy to forget in the room. Print it or save it as a PDF and bring it with you. Appointments are short, and a written page means the important parts get covered.
What it cannot do
It does not store or send anything. Nothing you type leaves your browser, and refreshing the page clears it, so print or save before you close the tab. It also cannot tell you whether you meet any Medicare criteria. The published criteria differ between procedures, and only your treating team can assess whether they apply to you.
How I'd use it
Start filling it in a week or two before the appointment, not the night before, and add to it as things come up. The care-history section matters most if you are heading towards surgery: some Medicare items look for a documented skin problem that has not settled with conventional treatment, and that record is far easier to build as it happens than to reconstruct later.
Educational planning only. These tools cannot examine your skin, diagnose a condition, establish Medicare eligibility or predict treatment results. About our editorial approach.